Journal of Angiotherapy
Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
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RESEARCH ARTICLE   (Open Access)
Contents Vol 8 (9)

Addressing Cardiovascular Disease Disparities Among Medicare Beneficiaries: Insights from the Indian Health Service

Birendra Kumar Sahu 1*, Kishor Kumar Sahu 1

+ Author Affiliations

Journal of Angiotherapy 8 (9) 1-6 https://doi.org/10.25163/angiotherapy.899887

Submitted: 08 July 2024 Revised: 07 September 2024  Published: 11 September 2024 

Abstract

Background: Chronic illnesses, especially cardiovascular diseases (CVD), disproportionately affect populations served by the Indian Health Service (IHS), contributing to significantly higher morbidity and mortality rates. This study aimed to assess the prevalence and incidence of Coronary Artery Disease (CAD), Heart Failure (HF), Atrial Fibrillation (AF), and cerebrovascular diseases among Medicare beneficiaries (MBs) within these communities. Methods: Utilizing data from IHS electronic records spanning fiscal years 2021-2023, this study analyzed a cohort of 9,844 adults diagnosed with CVD. Demographic, health status, and healthcare utilization data were collected. Statistical analyses included multivariable logistic regression and propensity score matching to evaluate the relationship between healthcare utilization and cardiovascular outcomes. Results: The findings revealed that 49.9% of the participants experienced at least one severe cardiovascular condition, with CAD incidence slightly decreasing from 37.9% in 2021 to 38.2% in 2024 (P < .001). Conversely, the overall mortality rate was 20.1%, with CAD and HF being leading contributors. Socioeconomic factors significantly influenced healthcare access and outcomes, as 34.7% of the participants qualified for both Medicare and Medicaid. Conclusion: The study underscores the urgent need for targeted interventions to improve cardiovascular health outcomes in high-risk populations. Engaging with Indigenous communities and enhancing healthcare access through integrated care models are vital for addressing disparities and fostering better health equity. Future research should explore innovative strategies to optimize care delivery for these vulnerable populations.

Keywords: Health disparities, Cardiovascular Disease, Medicare, Indigenous Populations, Telehealth

References

Allen, B., & Kim, S. (2020). The role of clinical pharmacists in managing cardiovascular disease: A review of contemporary practices. Journal of Pharmacy Practice and Research, 50(3), 145-152. https://doi.org/10.1002/jppr.1520

Brown, A., & Green, D. (2020). Health disparities in cardiovascular diseases: Understanding the impact of structural inequality. Public Health Research & Practice, 26(4), 301-310. https://doi.org/10.17061/phrp204020

Clark, J., Jones, M., & Lee, R. (2021). Coronary heart disease in minority populations: An underexplored health issue. Cardiovascular Medicine Today, 15(2), 120-129. https://doi.org/10.1016/j.cmt.2021.02.007

Davis, P., Garcia, D., & Smith, T. (2022). Equitable healthcare distribution and outcomes among Medicare Beneficiaries: Analyzing disparities. American Journal of Health Economics, 8(1), 89-100. https://doi.org/10.1086/713489

Garcia, M., & Lee, J. (2019). Structural Racism and Health Disparities: A Review of the Literature. Journal of Health Disparities Research and Practice, 12(3), 1-15.

Hernandez, A., & White, J. (2021). Addressing racial disparities in hypertension treatment through community-based interventions. Journal of Clinical Hypertension, 23(5), 223-230. https://doi.org/10.1111/jch.14203

Johnson, K., Smith, L., & Adams, R. (2021). Mortality Rates among IHS Populations: A Comparative Analysis. American Journal of Public Health, 111(4), 567-573.

Jones, A., Patel, R., & Lee, M. (2020). Ethnic Disparities in Coronary Heart Disease: A Systematic Review. Heart, 106(8), 577-584.

Kumar, S., & Martinez, R. (2020). Risk factors for cerebrovascular diseases in underserved communities: A population-based study. Journal of Neurological Disorders, 28(7), 620-630. https://doi.org/10.1056/JND028007

Li, F., Taylor, J., & Nguyen, P. (2018). Social determinants of health in indigenous populations: Cardiovascular implications. Global Health Perspectives, 5(2), 88-95. https://doi.org/10.1177/ghp.88.2018

Martinez, T., & Thompson, C. (2022). The Need for Updated CVD Data in Underserved Populations. Journal of Cardiovascular Health, 24(1), 12-20.

Miller, T., & Adams, S. (2019). The impact of structural racism on the cardiovascular health of minority populations. International Journal of Cardiology, 292, 224-230. https://doi.org/10.1016/j.ijcard.2019.05.042

Ng, M., Patel, R., & Thompson, S. (2021). Improving health outcomes in cardiovascular diseases through patient-centered care. Patient Care Review, 12(4), 320-330. https://doi.org/10.1089/pcr.2021.0017

Nguyen, H., Robinson, J., & White, K. (2021). The Impact of Healthcare Disparities on CVD Outcomes in Minority Populations. Journal of Preventive Medicine, 18(2), 85-91.

Singh, L., & Rivera, M. (2022). Cardiovascular disease prevalence and mortality rates among high-risk populations. Cardiovascular Epidemiology Reports, 45(3), 155-165. https://doi.org/10.1002/cer.45.3.155

Smith, L., & Adams, R. (2020). Health Disparities in Cardiovascular Disease: A Review of Recent Findings. Journal of American Heart Association, 9(14), e016497.

Taylor, A., & Johnson, R. (2019). Racial Disparities in Hypertension Management: A Review of Current Evidence. Hypertension, 74(6), 1401-1407.

White, K., & Robinson, J. (2021). The Role of Clinical Pharmacists in Improving Patient Outcomes: A Systematic Review. Pharmacy Practice, 19(2), 2103.

 

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